HomeMy WebLinkAbout2017- 00285 - gas fireplace 1 I ! II II II
CITY OF ORONO * 2'0 i 7��_ 0� I ����
2750 KELLEY PARKWAY DATE ISSUED: 03/28/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 500 OLD CRYSTAL BAY RD S
PIN : 04-1171-23-42-0029
LEGAL DESC : CRYSTAL BAY RETREAT
: LOT I BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,70'7.00
NOTE: ALL TESTING REPORTS SHALL 3E ON SITE AT FINAL INSPECTION.
HHT GAS FACTORY FIREPLACE-MOD L SL-7
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.85
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 52.85
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512(60 CREDIT CARD 4616 52.85
OWNER
MERZ,BRIAN&KATIE
2412 BLACK LAKE RD
SPRING PARK,MN 55384-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goVerning this type of work
shall be compied with whether or not specified hergin.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuanc ,or if construction is
suspended for a period of 180 days at any time a$Cr work has commenced.
The applicant is responsible for assuring all requir d inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued y ature Date
03-27-' 17 10:41 FROM- T-959 P0001/0003 F-165
,5 /'`T G70 /'C "" 1
R CI Y USE ONLY
O City of Orono a�7 7- W
W
Date Iteceiv / Permit��I2750 Kelley Parkway
85
Crystal Bay,MN 5323 Approved By: Amount$:phone( 52)249-4600 Fax(952)249.4516
1.
kestto�` CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed_ PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs,—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model_ Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required)
KNew 0 Additional ❑Repairs 0 Replace
Job Site/Owner Information:
Site Address:
500 01 b / 5.4.. ( 86t5/ P--
e
I
Owner: / /trsr N41 /v-5 L1-6' Mailing Address: /811
C' 1-15-1-t'' A U--C,. A
4-13
City: .N1/4111rVAAA Zip:
5144(0
Home Phone: 7613--554- 9' I Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH & HOME Contact Person: Pettitenr
Address: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN zip:55113 Expiration Date:
Phone: (J/5-
.O J i ~13'f 3 3°'Alternate Phone:
❑ Insurance-Current:
1
03-27-'17 10:41 FROM- T-959 P0002/0003 F-165
;,: . ,. .., .:. :1VVIEC�TAI1ICAt S'Y`STEMS0.E)14GINSTAII:0- :; .'�� i-;;:.;, .:;,:,
I
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: T
Tons:
H.Power
FIREPLACES.). P
1 1 �
❑ Wood Stove
Oas Factory Fireplace Brand Name:
[] W4od Burning Fireplace Model No.: CCL-1
❑ W,od Stove with Flue/Masonry
VENTILATION
E3 No.
No, Kitchen Exhaust _duct recirculating cfm
❑
N . Bath Exhaust(must have duct outside)
❑ cfm
No. Other Fans: Locations
FUEL STORAGE i(Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation 0 Removal
Ftlel Oil: gallons 0 Underground 0 Inside 0 Outside
LF Gas: gallons
Other:
GAS LINE ONLY
Q Outdoor Grill 0 Other/List What&Where:
2
03-27-'17 10:42 FROM- T-959 P0003/0003 F-165
:PEWITTEE'C ILCULA'TION S "
*)0. TA, ;STATVE
❑
Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not Irequire modification to electrical or gas service.
2_ Has a tot it cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
. .:PBI MIT PEE;CALCULATION(S). JOBS OYER'$500;04; :;`::' . ..
If above does not apply;follow guidelines below:
1. CONTRACT PRICE is 1.25%of contract price with a(Minimum Fee of$50.00)
l ( D x.0125$ U' '
(contract price (minimum$50.00)
2. STATE SIJRCHAROE )716
7 x.0005 $ 0 o�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer fir the work done. If any material,equipment, labor or installations are furnished by
the owner,tenant or any other party,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost,the City may request the submission of a signed copy of'the actual contract.
A/I
' CHANICAL;PEiiivi>:TA.EPIXCA'I'ZOg;A;GO$ NT.,::
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
work in strict accordance with the ordinances of the iy and the regulations of the State of
Minnesota, and certifies that all statements • =de • his application are complete, true and
correct.
Applicant's Signat e: /
Date: 7-17
3
DA E J TIME
CITY OF ORONO CALLED IN 3
INSPECTIONOTICE Art SCHEDULED 3- /—/ 7 /6:3Z7
PERMIT NO. "°')Q/ COMPLETED a
ADDRESS 56n C)1_/ ��
OWNER `7�i:h-(4 ` � TEI.�PH�NOl��/-15?'" 3/ �
CONTRACTOR a-C� ff 1 -
DESCRIPTION a��/�
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
et
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. / ��'� - G
White Copyllnspector's File Canary Copy/Site Notice
SATE
..--C- ..-1„3 S'°---
TIME
CITY OF ORONO \/
CALLED IN �
INSPECTION NOTICE �HEDULED /9'--/7 to
PERMIT NO. 010 /7o '2e_JCOMPLETED
ADDRESS v .1/ &.17.S41-4.,e._ 6 c
X51-e033-/D 2,
OWNER h TE PHONE NO.
CONTRACTOR `- .l-1 -3/4u A
DESCRIPTION c P?_� L
` C .4 ' A
W ❑ FOOTING DEMO-FINAL / 0 SEPTIC FINAL
4.lic ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
' OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v) COMMENTS: (� 61--- 6476 /c7 9
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W 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CCW
ID CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
tj BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
X ❑CIT❑ OP ORDER POSTED.CALL INSPECTOR
ATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. 3 /!�
White Copyllnspector's File Canary CopylSite Notice